Dianne S Mixon in Vidalia - Physician Assistant
Dianne S Mixon - NPI 1245376573
Dianne S Mixon is a Physician Assistant in Vidalia, Georgia. Dianne S Mixon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dianne S Mixon is 1245376573. The last update date is 2010-12-20.
Dianne S Mixon's current location address is 1608 Meadows Ln Ste 1, Vidalia, Georgia. You can contact this provider via phone number 9125379488 and fax number 9125378951. The mailing address for Dianne S Mixon is 1608 Meadows Ln Ste 1, Vidalia, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dianne S Mixon |
|---|---|
| Address | 1608 Meadows Ln Ste 1, Vidalia, Georgia |
| Phone Number | 9125379488 |
| Fax Number | 9125378951 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1245376573 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2010-12-20 |
Provider Mailing Address Detail
| Address | 1608 Meadows Ln Ste 1 |
|---|---|
| City | Vidalia |
| State | Georgia (GA) |
| Post Code | 304749907 |
| Phone Number | 9125379488 |
| Fax Number | 9125378951 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 330 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100001382A | GA | -- |
Post Comment/ Review Below
What is the Dianne S Mixon's unique identification number?
The Dianne S Mixon has been assigned the NPI (National Provider Identifier) Number 1245376573 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Dianne S Mixon is located?
The Dianne S Mixon is situated at the following address: 1608 Meadows Ln Ste 1, Vidalia, GA, 304749907.
What is Dianne S Mixon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dianne S Mixon's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When was the Dianne S Mixon's 1245376573 issued?
The Dianne S Mixon's 1245376573 was issued on 2007-01-30.
When was the information pertaining to Dianne S Mixon most recently updated or revised?
The details related to Dianne S Mixon, including its address, specialty, and other relevant information, were last updated or revised on 2010-12-20.
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